Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $416.78 / $587.66 / $1,250.33	Facility		$416.78	$587.66	$1,250.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $416.78 / $416.78 / $539.22	Professional		$416.78	$416.78	$539.22
BCBS Facility/Professional Facility Modifier Low / Median / High Price $416.78 / $1,000.27 / $2,150.58	Facility		$416.78	$1,000.27	$2,150.58
BCBS Facility/Professional Facility Modifier Low / Median / High Price $66.78 / $416.78 / $416.78	Facility		$66.78	$416.78	$416.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $314.67 / $725.86 / $1,817.97	Facility		$314.67	$725.86	$1,817.97
BCBS Facility/Professional Facility Modifier Low / Median / High Price $58.70 / $100.00 / $3,763.52	Facility		$58.70	$100.00	$3,763.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.56 / $53.66 / $134.18	Professional		$37.56	$53.66	$134.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $250.07 / $250.07 / $416.78	Professional		$250.07	$250.07	$416.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $166.71 / $198.48 / $547.65	Professional		$166.71	$198.48	$547.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $395.94 / $416.78	Professional		$3.50	$395.94	$416.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $416.78 / $416.78 / $416.78	Professional		$416.78	$416.78	$416.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $351.78 / $586.79 / $1,151.36	Facility		$351.78	$586.79	$1,151.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $478.96 / $507.69 / $608.27	Professional		$478.96	$507.69	$608.27
United Facility/Professional Facility Modifier Low / Median / High Price $375.02 / $375.02 / $375.02	Facility		$375.02	$375.02	$375.02
United Facility/Professional Professional Modifier Low / Median / High Price $175.05 / $228.84 / $479.30	Professional		$175.05	$228.84	$479.30